Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,059.05	Professional		$1,961.00	$1,961.00	$2,059.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,497.50	Professional		$1,961.00	$1,961.00	$2,497.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.85 / $1,961.00 / $2,255.15	Professional		$1,666.85	$1,961.00	$2,255.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,068.86	Professional		$1,961.00	$1,961.00	$2,068.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $2,568.91	Professional		$1,696.00	$1,696.00	$2,568.91